       Document 0413
 DOCN  M9640413
 TI    Intra-abdominal tuberculosis in acquired immunodeficiency syndrome.
       Diagnosis and management.
 DT    9604
 AU    Schanaider A; Madi K; Department of Surgery and Pathology, Federal
       University of Rio de; Janeiro, Brazil.
 SO    Int Surg. 1995 Apr-Jun;80(2):147-51. Unique Identifier : AIDSLINE
       MED/96098505
 AB    Tuberculosis (TB) in human immunodeficiency virus (HIV) immunosuppressed
       patients is characterized by extra-pulmonary disease in as many of 70%
       of them. If intestinal or lymph node involvement occurs, the
       differential diagnosis between an acute abdomen and other non surgical
       conditions may be a challenging problem. The authors analyzed eight
       double infected patients (TB and acquired immunodeficiency syndrome
       AIDS), who were admitted to the University Hospital (HUCFF) of the
       Federal University of Rio de Janeiro. This association should be
       considered when abdominal pain, anemia, fever, weight loss and abdominal
       lymph node enlargement are present. Bacteriology of body fluids,
       abdominal ultrasound (US) and computed tomography scans (CT) combined
       with guided needle aspiration biopsies, barium examination, colonoscopy
       and laparoscopy, can not only elucidate the diagnosis but also be
       helpful in assessing an appropriate management. Thus a systematic
       evaluation often yields an etiology and a correct therapeutic indication
       reducing the high mortality rate.
 DE    Adult  AIDS-Related Opportunistic Infections/*DIAGNOSIS/PATHOLOGY/
       SURGERY  Biopsy, Needle  Brazil  Diagnostic Imaging  Female  Human
       *HIV-1  Lymph Nodes/PATHOLOGY  Male  Middle Age  Peritoneum/PATHOLOGY
       Tuberculosis, Gastrointestinal/DIAGNOSIS/PATHOLOGY/SURGERY
       Tuberculosis, Lymph Node/DIAGNOSIS/PATHOLOGY/SURGERY  Tuberculosis,
       Peritoneal/*DIAGNOSIS/PATHOLOGY/SURGERY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

